Mauricio Zuluaga, MD, FACS, General and MIS Surgeon1, Ivo Siljic, MD, FACS, General and MIS Surgeon1, Juan Carlos Valencia, General and MIS surgeon2, Uriel Cardona, General and MIS surgeon2. 1IJP Colombia, Hospitla Universitario Del Valle, Universidad Del Valle, 2IJP Colombia, Clinicafarallones, Clinica Desa, Cali Colombia
Introduction: The use of minimally invasive surgery in trauma, has more and more field in this specialty. Precordial trauma with stable patient can be approached to make the diagnosis and define the definitive route of management according to the findings.
Material and method: report of 10 cases of penetrating precordial trauma, hemodynamically stable, resolved by minimally invasive surgery between July 2014 and December 2016, a pericardial window was made thoracoscopically, intervention was performed 2-5 days after admission, 7 2 with pericardial effusion, 5 without echocardiogram due to lack of resources, cardiorraphy was performed in 2 patients, 6 pericardial wound that did not require management and 2 patients with non-bleeding myocardial wound in biological sealant management. The operative time was 30 100 minutes, the associated chest pathology was performed in the 10 patients, the hemothorax drainage was performed. Patients were discharged between 3-10 postoperative day, all of them had a post-operative transthoracic echocardiogram without findings.
Results: precordial trauma can be fully managed by minimally invasive surgery, the primary requirement is adequate patient selection, hemodynamic stability, video-assisted thoracoscopy and teamwork. the patients treated were solved by this route, without complications. Follow-up at 12 months without alterations.
Conclusion: Minimally invasive surgery gains space in handling stable patient trauma, depends on the surgeon's skills and teamwork. It is a novel subject that does not have many reports in the medical literature.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87543
Program Number: P054
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster